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General NPI Number Information
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NPI Number | 1154907244
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Entity Type | Individual
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Provider Name | SHANNON SATTERWHITE MD, PHD
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Gender | Female
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Dates
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Enumeration Date | 03/20/2021
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Last Update Date | 06/21/2024
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Provider Practice Location Address
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Address Line | 1500 21ST ST
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City | SACRAMENTO
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State | CA
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Zip | 95811-5216
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Country | US
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Telephone | 916-443-3299
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Fax |
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Provider Business Mailing Address
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Address Line | 4860 Y ST STE 2320
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City | SACRAMENTO
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State | CA
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Zip | 95817-2307
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Country | US
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Telephone | 916-734-2833
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | 182698
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License Number State | CA
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